Graduated: 2004
NPI: 1013969948
Practice Locations (2)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
2801 NW 79TH AVE
DORAL, FL 331221174
7864661286
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1611 NW 12 AVE
MIAMI, FL 331361005
3055851111
Source: CMS National Downloadable File, September 2026.